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Integrating Expressive Writing into Nursing Care for Schizophrenia Patients with Hallucinations: A Case Report Bela Puspita Sari; Erti Ikhtiarini Dewi
Madago Nursing Journal Vol. 6 No. 1 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/mnj.v6i1.4095

Abstract

Background: Hallucinations represent a common sensory perception disorder in schizophrenia patients, affecting 70-80% of cases. Expressive writing therapy serves as a potential non-pharmacological intervention to reduce hallucination symptoms through emotional catharsis and distraction mechanisms. To analyze the effectiveness of expressive writing therapy in reducing hallucination symptoms in schizophrenia patients. Methods: A qualitative case study was conducted on a 23-year-old female patient with hebephrenic schizophrenia diagnosis at Dr. Radjiman Wediodiningrat Mental Hospital Lawang. The intervention was performed for 3 days combining expressive writing therapy 20 minutes/day and hallucination management implementation strategies. Data were collected through observation, interviews, and document analysis. Results: A significant reduction in hallucination symptoms was observed, decreasing from 5 symptoms to 3 symptoms post-intervention. The patient demonstrated improved ability to control hallucinations through rejecting techniques (100%), regular medication adherence (100%), and beginning social interaction capability. Emotional expression through writing showed progression from traumatic experiences toward positive hopes. Conclusion: Expressive writing therapy is effective as an adjuvant intervention in reducing hallucination symptoms and enhancing emotional expression in schizophrenia patients.
Work Stress Mapping of Farmers in Jember Regency Kurniyawan, Enggal Hadi; Asmaningrum, Nurfika; Rondhianto; Dewi, Erti Ikhtiarini; Afandi, Alfid Tri
Jurnal Penelitian Pendidikan IPA Vol 11 No 11 (2025): November: In Progress
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i11.12898

Abstract

Work stress among farmers remains an overlooked occupational health issue in Indonesia despite high vulnerability to economic and environmental pressures. This study aimed to map farmers’ stress levels and identify demographic factors influencing stress. A quantitative descriptive design was used with 140 farmers selected through purposive sampling in Jember Regency. Stress was measured using the DASS-42 stress subscale, and data were analysed descriptively and through multiple linear regression. Results showed that 62.9% of farmers experienced mild stress, 30.7% moderate stress, and 6.4% severe stress. Regression analysis demonstrated that gender (p=0.012), educational attainment (p=0.005), family role (p=0.030), number of family members (p=0.025), land size (p=0.008), and monthly income (p=0.001) significantly influenced stress levels. Female farmers, individuals with low education, heads of households, farmers with more than four family members, land ≤ 0.65 ha, and income < Rp 1,916,983 had markedly higher stress scores.  The study concludes that farmer stress is shaped by socioeconomic vulnerability and limited resources. These findings highlight the need for targeted interventions, including capacity-building programs, improved access to agricultural support, and policies that enhance economic stability to reduce work-related stress among Indonesian farmers
Application of progressive muscle relaxation therapy to reduce anxiety in clients with hypertension: A case study Fitria, Lailatul; Dewi, Erti Ikhtiarini; Deviantony, Fitrio; Kusumaningsih, Amalia
Lentera Perawat Vol. 6 No. 4 (2025): October - Desember
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i4.562

Abstract

Background: Hypertension is frequently associated with psychological disorders, particularly anxiety, which may worsen physiological responses and lead to decreased quality of life. Progressive Muscle Relaxation (PMR) is a non-pharmacological intervention proven to reduce anxiety and enhance psychological and physiological stability among clients with chronic diseases. Objective: This case study aimed to evaluate the effectiveness of PMR therapy in reducing anxiety levels in a hypertensive client. Methods: A single-case study design using a nursing care approach was implemented on a client diagnosed with stage 2 hypertension and moderate anxiety based on the Hamilton Anxiety Rating Scale (HARS). PMR therapy was performed once daily for five consecutive days, supported by assessments through interviews, observation, vital sign monitoring, and HARS evaluation. Results: The client demonstrated a decrease in anxiety level from moderate (HARS score: 17) to mild (HARS score: 13) after five therapy sessions. Additional improvements were noted in sleep duration, perceived relaxation, and blood pressure stability. The client became able to independently perform PMR beginning on day three. Conclusion: Progressive Muscle Relaxation therapy demonstrated a positive impact on reducing anxiety among hypertensive clients when practiced consistently and systematically. PMR may be recommended as a complementary nursing intervention in community settings to improve psychological well-being and prevent hypertension-related complications. Further studies using larger sample sizes are recommended to strengthen generalizability.
Co-Authors Achir Yani S. Hamid Adhelia Reisa Zalsabilla Aditya Kusuma Wardana Afrize Rosalia Ahmad Muizzulhafiidh Ahmad, Intan Faradela Alfid Tri Afandi Alifia Marcheilla Yulfansha Amadea Yollanda Ami Allaili Aura Najwa Salasabila Azizah, Lia Bafidz Arifahmi Bachtiyar Bela Puspita Sari Devi Chintya Ayu Palupi Dini Kurniawati Dita Dityas Hariyanto Dodi Wijaya Emi Wuri Wuryaningsih Endah Luthfiana Sari Enggal Hadi K Enggal Hadi Kurniyawan Erlando, Robby Prihadi Aulia Febrianty, Dyta Feno Aureola Maharani Ferdiana Sari Tidar Feri Ekaprasetia Firnanda, Dhea FITRI NURCAHYANI Fitria, Halena Laila Fitria, Lailatul Fitrio Deviantony Geldine Raudina Freshta Delendra Hadi, Enggal Hafan Sutawardana, Jon Hamzah, Rizqi Bachtiar Hanny Rasni Indra Stiawan Kushariyadi Kusumaningsih, Amalia Lantin Sulistyorini Laras Ati, Niken Asih Latifa Aini Susumaningrum Latifa Aini Susumaningrum Lie Liana Fuadiati Luh Putu Ratna Sundari Muhammad Anshori Rizqi Putra Mulia Hakam Mustikasari, Novia Narulia Sari Noviyanti Fernandy Noviyanti Noviyanti Nur Aini Nur Widayati Nurfika Asmaningrum nuriyah halida Oktaviana Dwi Kartikasari Peni Perdani Juliningrum, Peni Perdani Permatasari, Vio Nadya Ragil Deshinta Ratna Sari Hardiani Regita Sari Dwi Cahyani Resita Ovina Intiyaskanti Rista Dwi Pratiwi Rommiyatun Zainiyah Rondhianto Rondhianto Santoso, Sofi Fitriyah Sari Mulia Ningrum Sekar Ayu Widowati Siti Hotijah Tantut Susanto Vania Putri Widiagma Wahyu Elok Pambudi Wantiyah Wantiyah Widiyantari, Ni Made Galuh Windi Noviani Yeni Fitria Yunita Eka Ratnasari Yunus Nur Zakarya Zulfa Makhatul Ilmi